CMS Price Transparency Data

C-section delivery (full package)

Facility: Bayou Bend Health System

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,560
Cash Discount Price: $3,665
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Bayou Bend Health System is $3,560. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,665. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.44x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$3,665

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,560

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,473.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,473.27 (100%)

Cash / Self-Pay: $3,665 (148%)

Insurance Median: $3,560 (144%)

Cash: $3,665 (148% of Medicare)

Ins. Median: $3,560 (144% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,473.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Tricare	$2,356	95%
UnitedHealthcare	$2,461 - $2,618	100%
Aetna	$2,618 - $3,560	106%
Blue Cross Blue Shield	$2,618 - $3,685	106%
Dignity Mcr Adv Ip/Op Only-All Plans	$2,618	106%
Humana	$2,618 - $3,403	106%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$2,618	106%
Verity Healthnet Mcr Adv Ip/Op Only	$2,618	106%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$2,618	106%
Ambetter / Centene	$3,011	122%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$3,685	149%
La Health Mcaid Ip/Op Only	$3,685	149%
Verity Healthnet Mcaid Ip/Op Only	$3,685	149%
Diocese Of Lafaytte Ip/Op Only-All Plans	$3,927	159%
Gilsbar 360 Ip/Op Only-All Plans	$3,927	159%
Verity Healthnet Ip/Op Only-All Other Plans	$3,927	159%
Ccn/First Health Ip/Op Only-All Plans	$4,189	169%
Integrated Hp Multiplan Ip/Op Only-All Plans	$4,189	169%
Ppo Plus / Zelis Ip/Op Only-All Plans	$4,189	169%
Geha Ppo Ip/Op Only-All Plans	$4,451	180%
Usa Mco Ip/Op Only-All Plans	$4,451	180%
Galaxy Ip/Op Only-All Plans	$4,712	191%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,665.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59510.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bayou Bend Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 59510.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.